{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T18:25:07Z","timestamp":1786904707284,"version":"build-2736575974"},"reference-count":25,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Human rabies exposure occurs at the interface between urban areas, peri-urban environments, and health surveillance systems. This study analyzed territorial and programmatic dimensions of human rabies exposure and postexposure management in a Brazilian municipality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A population-based ecological study used secondary surveillance data from the Brazilian Notifiable Diseases Information System from 2007 to 2025. All notified human rabies exposure events were included. Variables included age, animal species involved, type of exposure, and postexposure prophylaxis management. Incidence rates per 100,000 inhabitants were calculated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 14,343 notifications were identified. Dogs accounted for most of the exposures, although cat-related incidents increased over time. Children &lt;15 y of age represented a substantial proportion of notifications. Incidence increased over time, particularly after 2010. Most exposures were classified as preventable events requiring postexposure prophylaxis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Human rabies exposure in this setting reflects persistent vulnerabilities at the urban-wildlife interface and challenges in postexposure management. Strengthening surveillance, responsible animal ownership, and One Health strategies are essential to reduce preventable exposures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10806032261472436","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T15:23:01Z","timestamp":1786720981000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Territorial and Programmatic Determinants of Human Rabies Exposure and Postexposure Prophylaxis in Brazil: A Population-Based Municipal Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7058-6604","authenticated-orcid":false,"given":"Jos\u00e9","family":"Brites-Neto","sequence":"first","affiliation":[{"name":"PVCE, Health Secretariat of Americana, S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2022.10.046"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.3389\/fitd.2024.1303359"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.2012.0143"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2017.91"},{"issue":"3","key":"e_1_3_3_6_2","first-page":"268","article-title":"Epidemiological overview of human rabies in Brazil focusing on the southern region","volume":"8","author":"Gon\u00e7alves NS","year":"2018","unstructured":"Gon\u00e7alves NS, Soares PS, Santos DC. Epidemiological overview of human rabies in Brazil focusing on the southern region. Rev Epidemiol Controle Infec\u00e7. 2018;8(3):268\u2013275.","journal-title":"Rev Epidemiol Controle Infec\u00e7"},{"issue":"1924","key":"e_1_3_3_7_2","first-page":"20192736","article-title":"Global shifts in mammalian population trends reveal key predictors of virus spillover risk","volume":"287","author":"Johnson CK","year":"2020","unstructured":"Johnson CK, Hitchens PL, Pandit PS, Rushmore J, Evans TS, Young CCW, et al. Global shifts in mammalian population trends reveal key predictors of virus spillover risk. 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Atualiza\u00e7\u00f5es no protocolo de profilaxia pr\u00e9 p\u00f3s e reexposi\u00e7\u00e3o da raiva humana no Brasil (Nota T\u00e9cnica no. 8\/2022-CGZV\/DEIDT\/SVS\/MS). Minist\u00e9rio da Sa\u00fade; 2022. https:\/\/www.gov.br\/saude\/pt-br\/centrais-de-conteudo\/publicacoes\/notas-tecnicas\/2022\/nota-tecnica-n-8_2022-cgzv_deidt_svs_ms.pdf"},{"key":"e_1_3_3_15_2","unstructured":"Brasil Minist\u00e9rio da Sa\u00fade. Raiva humana. https:\/\/www.gov.br\/saude\/pt-br\/assuntos\/saude-de-a-a-z\/r\/raiva\/raiva-humana"},{"key":"e_1_3_3_16_2","unstructured":"Feliciano MAM. Socioeconomic Report of Americana Municipality S\u00e3o Paulo State Brazil. Secretariat for Planning (SEPLAN); 2025. https:\/\/www.americana.sp.gov.br\/americana-index.php?a=midia-digital&md=2"},{"key":"e_1_3_3_17_2","unstructured":"World Health Organization. WHO Expert Consultation on Rabies: Third Report. 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